›› 2014, Vol. 34 ›› Issue (11): 823-827.

• 基础与临床研究 • 上一篇    下一篇

Micro-CT评价WaveOne预备根管后根管偏移的实验研究

张堃1,耿楠2,王轲1,李谨2   

  1. 1. 南京医科大学口腔医学研究所
    2. 南京医科大学口腔医学院
  • 收稿日期:2014-03-06 修回日期:2014-05-28 出版日期:2014-11-28 发布日期:2014-12-03
  • 通讯作者: 李谨 E-mail:lijin6806@163.com

Micro-Computed Tomography Analysis of Canal Transportation after Root Canal Preparation with WaveOne

  • Received:2014-03-06 Revised:2014-05-28 Online:2014-11-28 Published:2014-12-03

摘要: [摘要] 目的 以Micro-CT 为研究工具评价WaveOne镍钛器械对根管偏移的控制能力和中心定位能力。方法 将40颗离体前磨牙随机分为A、B、C、D四组,WaveOne(A组)、机用Protaper(B组)、手用Protaper(C组)三组采用根向技术预备根管;手用不锈钢K锉(D组)按照标准技术预备根管。预备前、后均用Micro-CT扫描并对近中、远中根管壁(双根管以颊侧根管计)的厚度进行测量,然后利用Gambill提出的公式进行根管偏移和轴中心率的计算。结果 根管预备后根管偏移量:A组小于其它三组(P<0.05);轴中心率:A组大于其它三组( P<0.05)。结论 WaveOne在预备根管时,能够较好的维持根管原始走向,减少根管中心的偏移,具有临床使用价值。

关键词: Micro-CT, 根管偏移, 镍钛器械, 根管预备

Abstract: Abstract Objective To evaluate the apical canal transportation and centralizing ability of NiTi instruments WaveOne after root canal preparation by Micro-CT.Methods Forty extracted premolar teeth were randomly divided into four groups: Root canals were respectively prepared using WaveOne(group A),motor ProTaper(group B),hand ProTaper(group C) nickel-titanium instruments with crown-down technique and using the stainless steel hand K-files with standardized technique ( group D) .A series of preoperative and postoperative images were taken by Micro-CT.Canal transportation and centralizing ability were measured with reference to the distance between the noninstrumented portion of the root canals and the mesial and distal periphery of the root.(Double root canals only recorded the buccal one.)Results Canal transportation after preparation:the Group A was less than the other three group(P<0.05). The centring ratio values:Group A was more than the other three group(P<0.05).Conclusion Within the limitation of this present study,WaveOne can well maintain the original root canal path and center in the preparation of root canal.Therefore,it has practical value for clinical use.

Key words: Micro-CT, canal transportation, nickel-titanium instrument , root canal preparation

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